Individual
NIRAV GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2640 SW 32ND PL, OCALA, FL 34471-7847
(352) 369-1099
(352) 369-0299
Mailing address
2640 SW 32ND PL, OCALA, FL 34471-7847
(352) 369-1099
(352) 369-0299
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS9535
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
OS9535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24419
BCBS GROUP
FL
05
—
276069000
—
FL
01
—
56088
BCBS
FL
01
—
DG5713
MEICARE RR GROUP NUMBER
FL
01
—
P00442268
MEDICARE RR PTAN
FL
Enumeration date
07/17/2006
Last updated
06/17/2024
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